Evidence map›Paper›PMID 40910421›Full record

Trial reportPalliative & supportive care2025

Beyond grief: Quantifying bereavement needs of rural family caregivers.

Catherine Vanderboom, Diane Holland, Cory Ingram, Brystana G Kaufman, Allison Gustavson, Jay Mandrekar, Ann Marie Dose, Ellen Wild, Carole Stiles, Joan M Griffin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Palliative & supportive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Catherine VanderboomKern Center for the Science of Health Care Delivery Research, Mayo Clinic, Rochester, MN, USA.
Diane HollandKern Center for the Science of Health Care Delivery Research, Mayo Clinic, Rochester, MN, USA.
Cory IngramDepartment of Community Internal Medicine Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA.
Brystana G KaufmanDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Allison GustavsonCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Jay MandrekarDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA.
Ann Marie DoseKern Center for the Science of Health Care Delivery Research, Mayo Clinic, Rochester, MN, USA.
Ellen WildDepartment of Community Internal Medicine Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA.
Carole StilesKern Center for the Science of Health Care Delivery Research, Mayo Clinic, Rochester, MN, USA.
Joan M GriffinKern Center for the Science of Health Care Delivery Research, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0001-8120-3229

Funding

Technology-enhanced Transitional Palliative Care for Family Caregivers in Rural SettingsR01NR016433 · NINR · MAYO CLINIC ROCHESTER · PI GRIFFIN, JOAN M. · 2017 to 2021
$2.9M
NINR NIH HHS R01 NR016433
6 · The paper itself

Abstract

objectivesFamily caregivers (FCGs) may experience numerous psychosocial and practical challenges with interpersonal relationships, mental health, and finances both before and after their care recipient (CR) dies. The specific challenges affecting rural FCGs who often have limited access to palliative care services, transitional care, and other community resources are not well understood. The purpose of this paper is to quantify the challenges rural FCGs experienced immediately before the death of a CR and continuing into the bereavement period.

methodsA secondary analysis of data from a randomized controlled trial was conducted. The 8-week intervention included video visits between a palliative care research nurse and FCGs caring for someone with a life-limiting illness. Data were from structured interviews during nurse visits with FCGs in the intervention arm whose CR died during the intervention period.

resultsNinety (41.8%) of the 215 FCGs experienced the death of their CR. The majority of FCGs were female (58.9%), White (97.5%), spouses or partners (55.6%) and lived with the CR (66.7%). Most FCGs (84%) continued with intervention visits by the study nurse after the CR's death. Visits resumed on average 7.2 days post-death. The majority of FCGs experienced challenges with grief/coping skills (56%) and interpersonal relationships/support systems (52%) both pre- and post-death of the CR. FCGs also experienced practical challenges with income/finance, housing, and communication with community resources both pre-and post-death. SIGNIFICANCE OF

resultsBereavement support should extend beyond a focus on grief to include practical challenges experienced by FCGs. Because challenges experienced in the bereavement period often begin before a CR's death, there is benefit in continuity of FCG support provided by a known clinician from pre- to post-death. When given an option, many rural FCGs are open to bereavement support as early as a week after the death of a CR.

Indexed as

BereavementCaregiversGriefRural PopulationAdultAgedFemaleHumansMaleMiddle AgedPalliative CareQualitative ResearchSocial Supportbereavement supportfamily caregiversgriefPalliative carequality of liferuralseriously illnesssocial support

Identifiers

PMID40910421
PMCPMC12416723

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.